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Rhinoplasty

Dr. Grigoryants specializes in endonasal rhinoplasty, also known as closed rhinoplasty. With this technique, incisions are placed inside the nose, and no scar will be present across the bottom of the nose. The goal of rhinoplasty is to create a natural and more attractive nose, and the use of endonasal rhinoplasty promotes this result.

The photographs below are untouched and show real results of Dr. Grigoryants’ patients.

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After Surgery

PATIENT 1: In this patient, rhinoplasty was performed to remove the nasal bump and raise the tip of the nose. Incisions were placed inside the nose-known as a closed rhinoplasty or endonasal rhinoplasty.

Before Surgery

After Surgery

PATIENT 3: Closed rhinoplasty was performed to narrow and lift the tip and reduce the hump.

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After Surgery

PATIENT 4: Wide nasal tip and nostrils were narrowed and dorsal hump reduced with endonasal rhinoplasty.

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After Surgery

PATIENT 5: Two years after closed rhinoplasty. Wide wide nostrils were narrowed, dorsal hump reduced, and tip was refined.

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After Surgery

PATIENT 6: Almost 3 years after closed rhinoplasty. Wide bones and tip were narrowed, dorsal hump reduced, and tip was refined. Airways were opened at the same time.

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After Surgery

PATIENT 7 This patient underwent closed rhinoplasty to remove the hump, raise the columella and repair the tension lip (upper lip pulled forward). Chin augmentation was performed using a Radiesse injection.

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After Surgery

PATIENT 8: This patient was presented with a wide and drooping tip, crooked nose and a dorsal hump. Closed rhinoplasty was performed to improve the shape of the nose, straighten the deviated septum and open nasal airways.
Ear pinning (otoplasty) was done at the same time.

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After Surgery

PATIENT 9: Closed rhinoplasty was performed to narrow the nose, refine the tip and reduce the dorsal hump. The deviated septum was straightened and nasal airways were opened at the same time.

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After Surgery

PATIENT 10: Closed rhinoplasty was performed to refine the tip, reduce the bump and lift the hanging columella.

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After Surgery

PATIENT 11: Closed rhinoplasty was performed to refine and lift the tip, improve nostril shape and reduce the bump.

Before Surgery

After Surgery

PATIENT 12: Closed rhinoplasty was performed to straighten the nose, refine and lift the tip, and reduce the bump.

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After Surgery

PATIENT 13: Closed rhinoplasty was performed to refine and lift the wide tip, reduce the bump, and lift the hanging columella. Nasal airways were opened at the same time.

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After Surgery

PATIENT 14: Closed rhinoplasty was performed to straighted deviated septum, refine the tip, and reduce the bump. Nasal airways were opened at the same time.

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After Surgery

PATIENT 15: Closed rhinoplasty. The tip was refined the tip and dorsal hump was reduced. Nasal airways were opened at the same time.

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After Surgery

PATIENT 16: This patient underwent closed rhinoplasty to raise the tip, improve tip definition, and reduce the dorsal hump. Some swelling around the tip is present 1 month after surgery. The shape of the tip will continue to improve as the swelling subsides.

Before Surgery

After Surgery

PATIENT 17: Endonasal rhinoplasty was performed to straighten the nose, refine and raise the tip, reduce the size of nostrils, and remove the bump. Nasal airway were opened at the same time.

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After Surgery

PATIENT 18: Closed rhinoplasty was performed to improve nasal deviation, refine and raise the tip. Nasal airway were opened at the same time.

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After Surgery

PATIENT 19: Closed rhinoplasty.

Tension lip was improved at the same time.

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After Surgery

PATIENT 20: Closed rhinoplasty was performed to remove the hump and refine and raise the tip.

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After Surgery

PATIENT 21: Closed rhinoplasty was performed to improve nasal and septal deviation, remove the dorsal hump, and raise the tip.

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After Surgery

PATIENT 22: Closed rhinoplasty was performed to refine the tip, remove the dorsal hump, and raise the tip.

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After Surgery

PATIENT 23: Closed rhinoplasty. The tip was refined, hump reduced, deviated septum straightened, and tension lip improved.

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After Surgery

PATIENT 24: Closed rhinoplasty. The tip was refined slightly, hump reduced, deviated septum straightened, tip deprojected, and tension lip improved.

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After Surgery

PATIENT 25: Closed rhinoplasty was performed to reduce the width of the tip, raise the tip, and remove the bump.

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After Surgery

PATIENT 26: Closed rhinoplasty was performed to raise the tip, reduce the bump, and smooth out arched nostrils.

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After Surgery

PATIENT 27: Closed rhinoplasty. The tip was refined, hump reduced, and arched nostrils made smaller.

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After Surgery

PATIENT 28: Closed rhinoplasty performed to lift the tip, remove the bump, and decrease nostril show. The tip with was reduced.

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After Surgery

PATIENT 29: Closed rhinoplasty was performed to decrease nostril width, reduce the bump, and improve tip definition.

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After Surgery

PATIENT 30: Closed rhinoplasty was performed to straighted deviated septum (crooked nose),raise the drooping tip, narrow/shorten the nostrils, and remove the dorsal hump.

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After Surgery

PATIENT 31: Endonasal rhinoplasty was performed to reduce the dorsal hump and refine the tip. Septal deviation (crooked nose) was straightened. All incisions are placed inside the nose (no external scars present).

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After Surgery

PATIENT 32: This patient has a low nasal bridge dorsal (radix), hump, and weak tip. Nose reshaping was performed using a closed (endonasal) approach The dorsal hump was reduced, cartilage grafts were placed in the bridge (radix) and tip of the nose.

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After Surgery

PATIENT 33: Nostrils size was reduced, nasal length shortened, and tip raised.

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After Surgery

PATIENT 34: Rhinoplasty was performed to narrow the nostrils, the tip, and remove the hump.

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After Surgery

PATIENT 35: Closed rhinoplasty was performed to decrease nostril width, reduce the bump, and improve tip definition.

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After Surgery

PATIENT 36: Closed rhinoplasty was performed to straighten the nose, refine the tip, reduce the dorsal hump.

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After Surgery

PATIENT 37: Endonasal nose surgery in this patient produced a natural appearing nose. A tip graft improved tip definition.

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After Surgery

PATIENT 38: Endonasal (closed) rhinoplasty was performed to remove the bump, refine and raise the tip.

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After Surgery

PATIENT 39: Closed rhinoplasty was performed to straighted deviated septum (crooked nose),raise the tip, and remove the dorsal hump.

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After Surgery

PATIENT 40: This patient underwent endonasal rhinoplasty to remove the dorsal hump and improve tip definition using a cartilage graft.

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After Surgery

PATIENT 41: Closed rhinoplasty (endonasal) was performed to straighten the deviated septum and narrow the tip.
Side View – In the same patient, the hump was reduced and the tip was raised producing an attractive and natural contour of the nose.

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After Surgery

PATIENT 42: Closed rhinoplasty was performed to straighten the deviated septum, remove the dorsal hump, and refine the tip.

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After Surgery

PATIENT 43: Closed rhinoplasty. Crooked appearance of the nose was improved, deviated septum straightened, tip refined, and dorsal hump removed. Nasal airway patency was improved at the same time.

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After Surgery

PATIENT 44: Closed rhinoplasty was performed to narrow the tip, shorten the nose, and remove the dorsal hump. Nostrils were made narrower and shorter. Nasal airways opened at the same time.

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After Surgery

PATIENT 45: Closed rhinoplasty was performed to narrow the nose, shorten the nose, raise the tip and remove the dorsal hump. A natural appearance of the nose was preserved.

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After Surgery

PATIENT 46: Star of Real Housewives of Beverly Hills, Kim Richards. Four years after closed rhinoplasty.

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After Surgery

PATIENT 47: This patient underwent closed rhinoplasty. The wide tip was narrowed, nose was shortenedm and the hump was removed.

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After Surgery

PATIENT 48: Endonasal rhinoplasty was performed to refine the tip, raise the tip, and shave the hump of the dorsum.

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After Surgery

PATIENT 49: Closed rhinoplasty. The tip and nostrils were narrowed. The dorsal hump was reduced.

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After Surgery

PATIENT 50: Nose reshaping surgery was performed to decrease the dorsal hump and refine the tip.

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After Surgery

PATIENT 51: This patient had a significant nasal airway obstruction. Closed septorhinoplasty was performed to open nasal aiways, straighten the nose, lift the tip, and remove the dorsal hump.

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After Surgery

PATIENT 52: Closed rhinoplasty was performed to reduce the dorsal hump, narrow the tip, raise hanging columella (bottom of the nose). A tip graft was used to improve tip definition.

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After Surgery

PATIENT 53: This patient underwent closed rhinoplasty. The tip was raised and the bump was removed. Natural appearance of the nose was preserved.

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After Surgery

PATIENT 54: Male rhinoplasty. Deviated nasal bones were staightened. The dorsal hump, drooping tip, and wide/arched nostrils were reshaped maintaining a natural appearance.

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After Surgery

PATIENT 55: This patient broke his nose in the past. Closed rhinoplasty was performed to straighten the nose, decrease nostril size, reduce the dorsal hump, and improve breathing.

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After Surgery

PATIENT 56: Endonasal rhinoplasty was performed to refine nasal tip, remove the dorsal hump, and raise the columella. Nasal airways were opened at the same time.

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After Surgery

PATIENT 57: In this young patient, closed rhinoplasty was performed to reduce the height of the bridge, shorten the nostrils, and improve tip definition. The after photos were taken two years after rhinoplasty.

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After Surgery

PATIENT 58: This patient has a wide nose, with a pronounced dorsal hump, wide nostrils, and no tip definition. Closed rhinoplasty was peformed. The width of the tip and nostrils was reduced. The hump was reduced and the tip was reconstructed using a cartilage graft obtained from the nasal septum.

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After Surgery

PATIENT 59: This patient underwent closed rhinoplasty to narrow the tip straighten the nose, reduce the bump on the bridge of the nose, and decrease nostril show.

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After Surgery

PATIENT 60: Nose surgery in this patient was performed to improve the deviated septum, reduce the dorsal hump, and refine the tip.

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After Surgery

PATIENT 61: Closed rhinoplasty. The width of the tip, nasal bones, and nostrils was reduced. The dorsal hump was reduced and tip refined.

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After Surgery

PATIENT 62: This patient was displeased with a wide and overprojected nose as well as a bump on the bridge of the nose. Closed rhinoplasty was performed to produce a more attractive and natural shape of the nose.

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After Surgery

PATIENT 63: This patient has a crooked nose with a dorsal hump. Nose surgery was performed to straighten the nose, reduce the hump, and raise the tip. A deviated septum (crooked nose) was straightened.

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After Surgery

PATIENT 64: This patient underwent nose reshaping (endonasal rhinoplasty) and a chin augmentation.

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After Surgery

PATIENT 65: In this closed rhinoplasty, the hanging columella was raised and the tip was refined. Additionally, there was a reduction in the small dorsal hump.

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After Surgery

PATIENT 66: This patient underwent a closed rhinoplasty, straightening and narrowing the nose and refining the tip.

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After Surgery

PATIENT 67: In this patient, the after picture is taken about two months after receiving a closed rhinoplasty. The dorsal hump was removed, the nasal tip was refined, and the hanging columella was raised.

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After Surgery

PATIENT 68: This patient received closed rhinoplasty, removing the dorsal hump and refining the tip.

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After Surgery

PATIENT 69: In this patient, closed rhinoplasty was performed to reduce nostril size, decrease the dorsal hump and rotate the nasal tip upwards.

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After Surgery

PATIENT 70: This patient received closed rhinoplasty to reduce the size of her nostrils, lift the nasal tip and produce a gently curved dorsum. In this procedure, Dr. Grigoryants utilized cartilage grafts to decrease nostril arch.

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After Surgery

PATIENT 71: This patient underwent endonasal rhinoplasty to reduce the dorsal hump of her nose.

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After Surgery

PATIENT 72: In this patient, septoplasty was performed to correct her deviated septum, in addition to reducing the dorsal hump and refining the nasal tip.

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After Surgery

PATIENT 73: This patient received an endonasal rhinoplasty and concurrent chin implant. The nasal tip was refined, the hump was reduced, and the nose was straightened.

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After Surgery

PATIENT 74: This patient saw subtle changes to improve the shape of her nose after receiving closed rhinoplasty. The dorsal hump was reduced, and the nasal tip was narrowed and lifted.

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After Surgery

PATIENT 75: Closed rhinoplasty was performed to remove the dorsal hump, narrow and lift the tip.

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After Surgery

PATIENT 76: Endonasal rhinoplasty with tip grafting.

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After Surgery

PATIENT 77: In this patient endonasal rhinoplasty was performed. A small cartilage graft was placed in the columella (bottom portion) to smooth its contour.

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After Surgery

PATIENT 78: Endonasal rhinoplasty was performed to remove the dorsal hump and decrease nostril show.

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After Surgery

PATIENT 79: Endonasal rhinoplasty with tip cartilage grafting.

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After Surgery

PATIENT 80: Male rhinoplasty. Closed rhinoplasty was performed to raise the tip and reduced the dorsal hump.

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After Surgery

PATIENT 81: Three weeks after undergoing nose reshaping (rhinoplasty). The nasal bump was removed. The width of the nose was narrowed. The tip was refined and raised. The deviated septum was straightened.
All incisions were placed inside the nose (endonasal approach). A deviated septum was straightened.

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After Surgery

PATIENT 82: This patient underwent endonasal rhinoplasty to reduce the dorsal hump.

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After Surgery

PATIENT 83: Rhinoplasty was performed to straighten the nose, reduce the dorsal hump and raise the tip maintaining the natural appearance of the nose.

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After Surgery

PATIENT 84: Endonasal rhinoplasty was performed to reduce the dorsal hump of the nose. A tip graft was placed to improve the definition of the tip.

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After Surgery

PATIENT 85: This patient underwent endonasal rhinoplasty to raise the tip and reduce the dorsal hump.

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After Surgery

PATIENT 86: Endonasal rhinoplasty was performed in this patient to raise the tip of the nose and remove the dorsal hump.

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After Surgery

PATIENT 87: Endonasal rhinoplasty was performed This patient requested to have a straight nose and raise the hanging columela to decrease nostril show.

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After Surgery

PATIENT 88: In this patient the dorsal hump was reduced, the tip was raised, and a cartilage graft was placed in the tip to improve its projection.

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After Surgery

PATIENT 89: Endonasal rhinoplasty with tip cartilage grafting was performed.

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After Surgery

PATIENT 90: This patient underwent endonasal rhinoplasty to decrease the width of the tip, width of nostrils, and reduce the dorsal hump.

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After Surgery

PATIENT 91: Endonasal rhinoplasty.

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After Surgery

PATIENT 92: Endonasal rhinoplasty and neck liposuction. Upper and lower blepharoplasty was performed at the same time.

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After Surgery

PATIENT 93: In this patient rhinoplasty was performed to reduce the dorsal hump and narrow the tip of the nose.

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After Surgery

PATIENT 94: Endonasal (closed) rhinoplasty.

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After Surgery

PATIENT 95: Endonasal rhinoplasty was perfomed.

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After Surgery

PATIENT 96: This patient underwent nose surgery (endonasal rhinoplasty) and neck liposuction. The dorsal hump of the nose was reduced, tip was narrowed and rotated up.

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After Surgery

PATIENT 97: Endonasal rhinoplasty was performed to reduce dorsal hump of the nose.

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After Surgery

PATIENT 98: In this patient the dorsal hump was reduced and a tip graft was placed using a closed approach.

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After Surgery

PATIENT 99: This patient underwent endonasal rhinoplasty. The projection of the nose as well as the length was reduced.

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After Surgery

PATIENT 100:Closed rhinoplasty.

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After Surgery

PATIENT 101:Almost 3 years after closed rhinoplasty by Dr. Grigoryants. The dorsal hump was removed, tip deprojected, nostrils made smaller, and bony base was narrowed. Nearly all swelling has resolved.

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After Surgery

PATIENT 102: Endonasal rhinoplasty- dorsal hump was reduced, nostril show was reduced, and a tip graft was placed to refine the tip.

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After Surgery

PATIENT 103: Closed rhinoplasty. The patient requested a more feminine nose. The dorsal hump was reduced, the tip was refined and lifted. The result is shown 1.5 years after surgery.

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After Surgery

PATIENT 104: Closed rhinoplasty. Septal deviation was corrected. Hanging columela was raised, the dorsal hump was reduced, and the tip was refined.

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After Surgery

PATIENT 105: Closed rhinoplasty.

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After Surgery

PATIENT 106: Closed rhinoplasty was performed to reduced the dorsal hump and improve tip definition.

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After Surgery

PATIENT 107: Endonasal rhinoplasty to decrease the dorsal hump.

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After Surgery

PATIENT 108: This patient is two months after undergoing a closed rhinoplasty. The tip swelling will gradually subside. The large hump was removed achieving a better balance between the nose and the face.

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After Surgery

PATIENT 109: Closed rhinoplasty was performed to refine the tip, reduce the bump, and decrease projection of the nose.

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After Surgery

PATIENT 110: This patient presented with nasal deviation and wide nasal bones following previous nasal fractures. The nose was straightened, nasal bones narrowed, and bump on the bridge reduced. Drastic changes were avoided.

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After Surgery

PATIENT 111: Nose reshaping (rhinoplasty) was performed to straighten the nose remove the hump, and improve tip definition.

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After Surgery

PATIENT 112: Closed rhinoplasty to reduce the dorsal hump.

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After Surgery

PATIENT 113: This patient underwent closed rhinoplasty to refine and raise the tip as well as reduce the dorsal hump.

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After Surgery

PATIENT 114: Rhinoplasty was performed using an endonasal approach to slighty narrow the tip, remove the dorsal hump, and raise hanging columella.

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After Surgery

PATIENT 115: Endonasal rhinoplasty- the tip width was reduced and the dorsal hump was removed.

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After Surgery

PATIENT 116: This patient underwent closed rhinoplasty to straighten the crooked nose, fix septal deviation, remove the hump, and refine the tip.

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After Surgery

PATIENT 117: Closed rhinoplasty was performed to straighten the nose, remove, the dorsal hump, and raise the hanging columella.

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After Surgery

PATIENT 118: Closed rhinoplasty was performed to remove the large dorsal hump, refine and raise the tip.

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After Surgery

PATIENT 119: This patient underwent closed rhinoplasty to refine the tip, narrow nostril width, and remove the dorsal bump.

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After Surgery

PATIENT 120: Closed rhinoplasty- nostrils narrowed, dorsal hump removed, and tip raised. The nostril were also lowered to diminish their arche appearance before surgery.

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After Surgery

PATIENT 121: Closed rhinoplasty- the tip was narrowed, refined, and lifted. The dorsal hump was reduced.

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After Surgery

PATIENT 122: Closed rhinoplasty tip refined and dorsal hump reduced.

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After Surgery

PATIENT 123: Wide nostrils and tip were narrowed and the dorsal bump was reduced using closed rhinoplasty.

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After Surgery

PATIENT 124: Closed rhinoplasty was performed to reduced the width of the nasal bones. The tip was lifted and reduced in width.

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After Surgery

PATIENT 125: Closed (endonasal) rhinoplasty- the tip was refined and lifted. The dorsal hump was reduced.

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After Surgery

PATIENT 126: Closed rhinoplasty- Deviated nose was straightened. The nose was reshaped to produce a more feminine shape. Deviated septum was straightened (see bottom views).
Deviated septum causing nasal obstruction was corrected. Endonasal approach was used – no external scars present.

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After Surgery

PATIENT 127: Closed rhinoplasty.

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After Surgery

PATIENT 128: Closed rhinoplasty was performed to achieve a more feminine nasal shape.

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After Surgery

PATIENT 129: Closed rhinoplasty- the tip was refined and dorsal hump reduced. Nasal projection was decreased (distance from the face to the tip). Natural appearance of the nose was maintained.

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After Surgery

PATIENT 130: Endonasal/closed rhinoplasty.

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After Surgery

PATIENT 131: Closed rhinoplasty in a young male patient.

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After Surgery

PATIENT 132: Closed rhinoplasty in a young male patient.

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After Surgery

PATIENT 133: The size of the nose was reduced lifting and narrowing the tip, reducing the bump, and shortening tip projection.

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After Surgery

PATIENT 134: Closed rhinoplasty to refine the tip and reduce the dorsal hump.

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After Surgery

PATIENT 135: Closed rhinoplasty was performed to lift the tip, shorten the nose, and reduce the dorsal hump.

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After Surgery

PATIENT 136: Suddle refinements of the dorsum and the tip were made using closed rhinoplasty techniques.

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After Surgery

PATIENT 137: The dorsal hump was reduced, the tip was narrowed, and the length of the nostrils was reduced using closed rhinoplasty.

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After Surgery

PATIENT 138: Closed rhinoplasty – nasal airways were opened and the nose was reshaped maintaining a natural male nasal shape.

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After Surgery

PATIENT 139: This patient had a significant deformity of the tip, dorsum, and septum before surgery. The septum has a C shape deviation.

Closed rhinoplasty was performed to straighten the nose and reshape the tip and the dorsum.

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After Surgery

PATIENT 140: Projection of the nose was decreased, the length of the nostrils shortened, and dorsal hump reduced. Closed rhinoplasty.

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After Surgery

PATIENT 141: This patient had a C- shape deformity of the nose as well as breathing problems before surgery. The nose was straightened and nasal airways were opened. The width of the tip was reduced and dorsal hump shaved down. Closed rhinoplasty.

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After Surgery

PATIENT 142: This patient requested suddle changes in the shape of the nose including removing the bump, making nostrils less arched, and lifting the tip. These were achieved via closed rhinoplasty.

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After Surgery

PATIENT 143: Closed rhinoplasty was performed to refine the tip, reduced the dorsal hump, and shorten the nose.

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After Surgery

PATIENT 144: Nasal width was narrowed, the tip was refined and raised, the dorsal hump was removed. Closed rhinoplasty.

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After Surgery

PATIENT 145: Closed rhinoplasty- the nose was made shorter (deprojected), reducing the tension lip appearance of the upper lip. Nostril length was shortened and dorsal hump reduced.

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After Surgery

PATIENT 146: The tip was narrowed and dorsal hump removed. Closed rhinoplasty.

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After Surgery

PATIENT 147: Prominent hump was reduced and the tip was raised. C shaped deformity of the nose was improved. Closed rhinoplasty.

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After Surgery

PATIENT 148: Overprojected nose was shortened, tip refined, and dorsal hump reduced. Closed rhinoplasty.

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After Surgery

PATIENT 149: Hanging columella was raised, dorsal hump reduced, and tip refined preserving the natural appearance of the tip.

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After Surgery

PATIENT 150: Nostril arching was reduced, tip raised, and dorsal hump reduced.

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After Surgery

PATIENT 151: In this patient, closed rhinplasty was performed to straighten the deviated nasal tip as well as reduce nostril arching and nostril size. The dorsal hump was also reduced.

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After Surgery

PATIENT 152: During closed rhinoplasty, this patient’s wide nasal tip and nostrils were narrowed. The hanging columella was raised and the dorsal hump was reduced. Additionally, the deviated septum was straightened.

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After Surgery

PATIENT 153: In this patient, overall nasal width was reduced and the tip was refined. The dorsal hump was also reduced.

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After Surgery

PATIENT 154: C- shape deformity was corrected via closed septorhinoplasty The dorsal hump was reduced and tip refined.

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After Surgery

PATIENT 155: Closed rhinoplasty was performed to refine the nasal shape.

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After Surgery

PATIENT 156: Closed rhinoplasty with nostril reduction (alar base reduction).

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After Surgery

PATIENT 157: Closed rhinoplasty.

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After Surgery

PATIENT 158: Closed rhinoplasty and otoplasty(ear reshaping).

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After Surgery

PATIENT 159: Closed rhinoplasty.

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After Surgery

PATIENT 160: Closed rhinoplasty.

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After Surgery

PATIENT 161: This patient presented with a difficult tip deformity. Closed rhinoplasty was performed to improve the shape of the tip and reduce the dorsal hump.

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After Surgery

PATIENT 162: Closed rhinoplasty.

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After Surgery

PATIENT 163: This patient presented with a challenging nasal deformity including a deviated septum, overprojected nose, and long nostrils. Closed rhinoplasty was performed to deproject (shorten) the nose, refine the tip, straighten the septum, and reduce the size of nostrils.

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After Surgery

PATIENT 164: Significant C-shape deformity of the nose was improved and nose reshaped. Closed septorhinoplasty.

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After Surgery

PATIENT 165: Closed rhinoplasty.

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After Surgery

PATIENT 166: Closed rhinoplasty.

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After Surgery

PATIENT 167: Closed rhinoplasty.

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After Surgery

PATIENT 168: Patient with wide bones and tip. Narrowing of the nose, dorsal hump reduction, and tip refinement was performed.

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After Surgery

PATIENT 169: Endonasal rhinoplasty was performed to refine the nose preserving a natural shape.

The after photos were taken two years after surgery.

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After Surgery

PATIENT 170: Patient with wide thick skin, wide tip, and wide nostrils. Narrowing of the nose, dorsal hump reduction, and tip refinement was performed.

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After Surgery

PATIENT 171: This patient underwent closed rhinoplasty.

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After Surgery

PATIENT 172: This patient underwent rhinoplasty to refine the tip, lift the columella, and reduce the dorsal hump.

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After Surgery

PATIENT 173: Closed rhinoplasty was performed to straighten the nose, remove the dorsal hump, and improve tip definition.

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After Surgery

PATIENT 174: Closed rhinoplasty.

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After Surgery

PATIENT 175: Closed rhinoplasty.

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After Surgery

PATIENT 176: Closed rhinoplasty.

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After Surgery

PATIENT 177: Closed rhinoplasty.

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After Surgery

PATIENT 178: Closed rhinolasty. Tip was narrowed and raised. Dorsal hump was reduced preserving a natural appearance. Nasal airways were opened at the same time.

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After Surgery

PATIENT 179: In this transgender patient, a closed rhinoplasty was performed to achieve a more feminine nose.

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After Surgery

PATIENT 180: Dorsal hump was reduced.

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After Surgery

PATIENT 181: This patient received closed rhinoplasty. The nasal tip was narrowed and raised, and the dorsal hump and nostril width were reduced.

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After Surgery

PATIENT 182: In this closed rhinoplasty, the nasal tip was narrowed and raised, the dorsal hump was reduced and nasal airways were opened.

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After Surgery

PATIENT 183: Closed (endonasal) rhinoplasty. The nose was deprojected,nasal tip and bones were narrowed, dorsal hump was reduced, and nostrils reduced in size. Nasal airways were opened.

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After Surgery

PATIENT 184: Closed (endonasal) rhinoplasty. The nose was deprojected,nasal tip and bones were narrowed, dorsal hump was reduced, and nostrils reduced in size. Nasal airways were opened.

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After Surgery

PATIENT 185: Closed rhinoplasty. The bulbous tip was refined and dorsal hump was reduced achieving a better facial balance.

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After Surgery

PATIENT 186: Closed rhinoplasty was performed to produce subtle changes. The tip was refined , dorsal hump reduced, and nasal tip lifted.

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After Surgery

PATIENT 187: Closed rhinoplasty was performed to narrow the tip and nostrils.

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After Surgery

PATIENT 189: Closed Rhinoplasty.

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After Surgery

PATIENT 190: Closed rhinoplasty to deproject the nose and remove the dorsal hump.

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After Surgery

PATIENT 191: Subtle changes were produced to improve the shape of the nose. Closed rhinoplasty

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After Surgery

PATIENT 192: Closed rhinoplasty to raise a droopy tip and remove the dorsal hump.

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After Surgery

PATIENT 193-A: Closed rhinoplasty to narrow the bones, narrow and raise droopy tip, and remove the dorsal hump.

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After Surgery

PATIENT 193-B: Long term result, 4.5 years after closed rhinoplasty. All swelling has resolved by now.

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After Surgery

PATIENT 193-C: Three years after closed rhinoplasty. Nasal deviation was improved, tip refined, dorsum slightly reduced, and columella raised. Deviated septum was straightened.

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After Surgery

PATIENT 193-D: Three years after closed rhinoplasty. The tip and nostrils were narrowed. The dorsal hump was removed. Closed rhinoplasty resulted in no visible scars.

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PATIENT 193-E: Over 1.5 years after closed rhinoplasty. The nose was straightened, dorsal hump reduced, and tip narrowed and lifted.

Before and After Surgery

PATIENT 193-F: About 1.5 years after closed rhinoplasty. The tip was narrowed and deprojected, dorsal hump reduced, and nostrils shortened.

Before and After Surgery

PATIENT 193-G: Closed rhinoplasty to narrow and raise the tip and columella. No bony work was done.

Asian Rhinoplasty

Before Surgery

After Surgery

PATIENT 194: The width of the nose was reduced by performing alar wedge resection.

Before Surgery

After Surgery

PATIENT 195: This patient underwent closed rhinoplasty. The depressed bridge of the nose was raised and nasal tip definition was improved using cartilage grafts.

Revision Rhinoplasty

Before Surgery

After Surgery

PATIENT 196: This patient previous underwent rhinoplasty and came to Dr. Grigoryants for revision surgery. There was further refinement of the bridge and nasal tip.

Before Surgery

After Surgery

PATIENT 197: This patient underwent rhinoplasty elsewhere. Crooked appearance of the nose was improved, the tip and dorsum were reshaped. Closed rhinoplasty.

Before Surgery

After Surgery

PATIENT 198: This patient underwent openrhinoplasty elsewhere. Crooked appearance of the nose was improved, the tip and dorsum were reshaped. General ethnic nasal features were preserved. Open rhinoplasty.

Before Surgery

After Surgery

PATIENT 199: This patient underwent rhinoplasty elsewhere before. Revision rhinoplasty was performed to correct C shape deformity of the nose, remove the dorsal hump, and improve breathing. Closed rhinoplasty.

Before Surgery

After Surgery

PATIENT 200: Rhinoplasty was performed elsewhere. Revision rhinoplasty was performed to remove the remaining bump and lift the columella.

Before Surgery

After Surgery

PATIENT 201: This patient had nasal deviation after a previous open rhinoplasty elsewhere. Closed rhinoplasty was performed to straighten the nose and improve tip definition.

Before Surgery

After Surgery

PATIENT 202: This patient underwent nose reshaping surgery elsewhere. She complained . of a remaining hump Endonasal revision rhinoplasty was performed to reshape the nasal dorsum.

Before Surgery

After Surgery

PATIENT 203: This patient underwent two open rhinoplasties elsewhere. She complained of a persistent dorsal hump, notched (retracted) nostrils, and a hanging columella. Closed revision rhinoplasty was performed. Nostril were lowered, tip was refined, columella brought up, and dorsal hump reduced. A lateral brow lift was performed at the same time.

Before Surgery

After Surgery

PATIENT 204: Revision rhinoplasty.

Before Surgery

After Surgery

PATIENT 205: Revision rhinoplasty.

Before Surgery

After Surgery

PATIENT 206: This patient underwent previous open rhinoplasty in another country. There, a rib cartilage graft was placed along the bridge of the nose. That resulted in a high dorsum (bridge) and a visible, protruding rib graft.
Closed revision rhinoplasty was performed to removed the rib graft. The dorsum and the tip were refined. Nostril size was reduced.

Before Surgery

After Surgery

PATIENT 207: This patient underwent an open rhinoplasty elsewhere. For revision, closed rhinoplasty was used to remove the small dorsal hump and improve tip definition.

Before Surgery

After Surgery

PATIENT 208: This patient underwent an open rhinoplasty elsewhere. She was displeased that her tip remained long and a small dorsal hump was present. An open rhinoplasty was performed to shorthen the tip length, shorten nostril length, and reduce dorsal hump.

Before Surgery

After Surgery

PATIENT 209: This patient required revision rhinoplasty to open airways and reshape the nose. Chin augmentation was concurrently performed using a silicone implant.

Before Surgery

After Surgery

PATIENT 210: The patient underwent closed revision rhinoplasty after a previous surgery elsewhere.

This after photo still show mild deviation. Photo take 1.8 years after surgery.

This after photo is taken about 3.5 years after surgery. The nose looks much straighter as compared to before surgery and to the earlier after photo. This confirms that it takes years for the final shape to show especially after a revision rhinoplasty.

Before Surgery

After Surgery

PATIENT 211: One year after closed rhinoplasty by Dr. Grigoryants. Subtle changes were performed to improve the shape of the nose.

Non-Surgical Nose Reshaping Procedures

Before Surgery

After Surgery

PATIENT 1: In this patient, Dr. Grigoryants performed non-surgical rhinoplasty by using Restylane injections to produce a gently curved dorsum and improve nasal tip definition.

Before Surgery

After Surgery

PATIENT 2: In this patient, non-surgical rhinoplasty with Restylane injections was performed to improve tip definition.

Before Surgery

After Surgery

PATIENT 3: Restylane injection in the nose improved nasal shape.

Before Surgery

After Surgery

PATIENT 4: Non-surgical rhinoplasty with Restylane injections was performed to hide the dorsal hump and improve tip definition.

Before Surgery

After Surgery

PATIENT 5: Non-surgical rhinoplasty was performed with Restylane injections to hide the dorsal hump and improve nasal tip definition.